porcelain veneers new westminster

Frequently Asked Questions About Veneers

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What happens to my teeth after veneers, and will I ever get cavities? The integrity of veneered teeth is only marginally compromised, and the veneer is bonded to the existing teeth. There is no higher incidence of decay provided the veneers are properly cared for as previously mentioned with regular flossing and brushing with toothpaste. In general, it is good dental advice to keep your sugar consumption low and confined to meal times to prevent decay.

How long will porcelain veneers last? They can last from seven to twenty years. While the veneer itself is inert and non-living, the tooth or teeth to which they are attached and the surrounding gum tissues are living and may change. For example, gum line shrinkage may expose or reveal root surfaces. If a veneer comes off it can generally be rebonded. If it chips it can sometimes be rebonded or otherwise replaced.

How Do I Choose a Dentist for Porcelain Veneers? As with any elective procedure, the most important factor in choosing a doctor is experience. While any dentist can offer porcelain veneers, not all have additional training in cosmetics. This is where things can get tricky and research (before and after pictures) becomes even more important.

Do Porcelain Veneers Look Fake? Individual results vary, but the goal is for the porcelain veneers to look and feel like a person’s own teeth, only better. To avoid the too-straight, too-white appearance that many associate with obvious veneers, intentional imperfections like slight rotation, subtle discoloration, and grooves can be made to imitate natural flaws.

A successful case is the result of great teamwork between a dentist and lab technician. The dentist must design the case for long-term success and the ceramist must create custom works of art to give a beautiful and natural look. Cosmetics is not taught in dental school, so it’s important to find a dentist that has extra training and certification showing this education. Experience counts.”

Can Veneers Be Removed? Because some tooth structure and enamel are removed prior to placing veneers, this is considered an irreversible treatment. Veneers may be replaced, but removing them for good will leave your teeth permanently scarred, at high risk for damage, and unhealthy looking.

What are the advantages of porcelain veneers over other types of cosmetic dental bonding procedures? Porcelain veneers are superior to other types of cosmetic dental bonding procedures in several ways:

  • Veneers look very life-like
  • Veneers are highly stained resistant
  • Since porcelain is a ceramic, stain-producing products such as coffee, tea, and red wine will roll right off the surface of your teeth. This means after your porcelain veneers are placed, you don’t have to worry about making changes to your lifestyle to accommodate your beautiful teeth.

If my teeth are reshaped for veneers or crowns, what will they look like? Will they be sensitive? Generally, cemented restorations, such as crowns or veneers (see the procedure section), will require two visits: one to shape the teeth and one to cement the restorations to the teeth. Between visits, your dentist can place attractive provisional restorations to help prevent sensitivity, allow limited function, and provide a nice smile. These temporaries are designed to be in your mouth for a limited time, but should be comfortable and natural looking until your new smile is completed.

Do porcelain veneers stain with normal things like tea, coffee and wine? Porcelain veneers should never stain; however; if your teeth have a propensity to stain you should try to avoid or minimize the behaviours that lead to staining and look after them as recommended above with normal hygiene and maintenance procedures.

How do I get veneers to match my other teeth? This concern will be addressed by your dental professional. Most people get their veneers in a whiter shade than their natural teeth and then under tooth whitening to create a matching esthetic.

How do I take care of my veneers? Once applied to your teeth, porcelain veneers should be treated just like your natural teeth. Don’t miss your twice-annual visits to the dentist for a professional cleaning and dental exam. And be sure to brush and floss daily to clean your teeth properly. There is no special treatment needed to care for your veneers.

invisalign

Frequently Asked Questions About Invisalign

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What are aligners made of, and what do they look like? The virtually invisible aligners, which are made of a thermoplastic material uniquely developed for the Invisalign treatment plan, look similar to teeth-whitening trays. A series of Invisalign aligners are custom-made for you, to move your teeth in the sequence determined by your doctor.

How do the aligners straighten teeth? Over the course of treatment, you will be supplied with a series of aligners. Each aligner will make slight adjustments to tooth position. During each stage, only certain teeth are allowed to move, a process that is mapped out in advance by your doctor, specifically for your situation. When the aligners are placed on the teeth, they cause the teeth to gradually shift from their current position. The main difference is that Invisalign not only controls the force but also the timing of the force application. After approximately two weeks, you will begin using the next set of aligners, which will continue the teeth straightening process.

Is Invisalign really effective? More than 3 million patients have been treated with Invisalign worldwide with great success. The aligners move teeth just as effectively as traditional metal and wire braces.

What are the other primary benefits of Invisalign comparing to Traditional Braces? Invisalign aligners are removable and you can eat whatever you want. For the best results and a timely outcome, aligners should be worn for 20 to 22 hours per day. However, unlike with braces, you have the flexibility to remove your aligners to eat and drink what you want during treatment. And you can also remove the aligners to brush and floss as you normally would, for fresh breath and good oral hygiene.

Avoid Pain and Irritation. The metal wires in traditional braces are notorious for causing pain, discomfort, and mouth sores. And since the treatment is long-term, patients are forced to live in discomfort for months. Invisalign straighteners are made of smooth plastic that is carefully molded to your teeth for a comfortable, pain-free fit. Some people might experience temporary discomfort for a few days at the beginning of each new stage of treatment. This discomfort typically goes away in a couple of days.

Visit the Dentist Less Often. Traditional braces require frequent visits to the dentist for tightening and correction. And since they compromise your oral health, you might also need more cleanings and intensive treatments. Patients who choose Invisalign straighteners instead typically only need to see a dentist every four to six weeks. That is an easy commitment to fit into a busy schedule.

How much does Invisalign cost? We know cost is a big question for anyone considering orthodontic work. In most cases, Invisalign treatment is comparable to the cost of traditional braces. However, as with other medical treatments, only your Invisalign-trained doctor can determine the cost, based on your specific needs. Other factors may include your treatment goals, the difficulty of your case, how long you are in treatment, where you live, and additional factors determined by your dentist or orthodontist. Also, check your dental insurance plan—Invisalign treatment is covered by many dental insurance policies. And many doctors can offer flexible and affordable monthly payment plans as well.

Can I go to any dental for treatment with Invisalign? While Invisalign can be used with virtually any treatment philosophy, special training is needed. All orthodontists and dentists interested in treating patients with Invisalign must attend training to become qualified and proficient in the various requirements for treating patients before treatments will be accepted from their office. More than 82,000 dentists and orthodontists worldwide are already trained to treat patients using Invisalign.

Will Invisalign still work if I am an adult/older? Many adults are choosing to get their smiles into alignment – in fact, nearly one-quarter of our orthodontic patients are adults! While traditional braces are becoming more accepted for both adults and kids, Invisalign is a great option for adults who may not want the full “braces” experience and would prefer a lower-profile, nearly invisible option.

What if I’ve had braces, veneers, bridgework or have other special dental conditions will Invisalign aligners work with them? Please consult with your dentist about any special orthodontic cases, such as veneers, braces.

Can I just wear the aligners while I sleep? No. The aligners must be in place a minimum of 20 to 22 hours a day for the treatment to be effective.

Can I smoke while wearing the aligners? Smoking is discouraged while wearing aligners because it is possible for the aligners to become stained or discoloured.

What is the best way to clean my aligners? The best way to clean your aligners is by brushing and rinsing them in lukewarm water and using the Invisalign Cleaning Crystals or special cleaning tablets. It’s important that you brush your teeth after each meal and prior to re-inserting your aligners to maintain proper hygiene.

What happens after the Invisalign treatment is completed? Is there a retainer necessary? Wearing a retainer after any orthodontic treatment is an important step because it keeps teeth stable in their new positions. If you want your teeth to remain in their ideal position, it is best to wear a retainer as directed by an Invisalign Provider. In many cases, your last aligner will be your temporary retainer, until your retention option is determined. Your Invisalign Provider can advise you on long-term retention options.

Will Invisalign really work for Me? To find out if you’re an Invisalign candidate, first make an appointment with your dentist on the website. In addition to determining if your particular dental problem can be fixed with Invisalign, you need to assess your lifestyle to determine if Invisalign will work for you. When you select traditional braces, they remain in your mouth 24 hours a day, but Invisalign is removable for eating, brushing and flossing. You still need to wear the aligners 20 to 22 hours per day, only removing them when absolutely necessary. Wearing them only while you sleep is not enough. If you tend to lose things or are forgetful, Invisalign might not be as effective for you.

Sapperton Dental Clinic’s Everything About Invisalign

Remember, when considering Invisalign or any other clear aligners, it is important to understand that the aligners alone will not fix your teeth. Invisalign is just a tool in the hands of an experienced dentist. Only experienced dentist can successfully treat cases with Invisalign. Your dentist, and not Invisalign, is responsible for any good or bad outcomes and your satisfaction. That applies only to those cases where the patient complies with the dentist’s instructions. The treatment success depends not just on a dentist but on the patient’s compliance as well. Without due diligence, Invisalign is not a good choice for you.

At Sapperton Dental Clinic in New Westmisnter, BC, we’ve placed over hundreds of Invisalign aligners. Call our dental office to schedule a time that’s most convenient for you. All our consultations are free of charge and we will only recommend Invisalign if we think it will benefit you.

We will always discuss the retention protocol after the treatment. Remember, it is not about making your teeth straight, it is about keeping them straight for a long time. You do not want to waste your hard earned money and have crowded and misaligned teeth only a few months after treatment is completed.

Permanent retainers, in most cases, are better than removable retainers. We will make sure retainer prices are included in the total to avoid any surprises.

We will also make sure refinement prices are included in the total. If you do need some braces during the treatment, which sometimes are necessary with Invisalign for the best results, we make sure you do not have to pay extra.

If you need a second opinion, please come and bring any records you have to discuss your concerns and questions. Or you can use online services to obtain a second opinion without leaving your home. If you were ever told by your general dentist that you are not a good candidate for treatment with clear aligners, visit our Sapperton Dental Office on East Columbia Street in New Westminster, BC to gain more knowledge and peace of mind. Remember, there is nothing to lose, just gain.

Have a question that has not been answered? To begin your Invisalign journey, give Sapperton Dental Clinic a call at our New Westminster location for a complimentary evaluation and advice.

teeth whitening new westminster

Frequently Asked Questions About Teeth Whitening

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Who should use teeth whitening? Generally, anyone with healthy gums and teeth that are looking to brighten up their smile can benefit from the professional teeth whitening system. It has been shown to be highly effective at removing stains from teeth, including tobacco, coffee, tea, tetracycline, and various other tooth stains. A professional teeth whitening system will not affect existing dental work.

Does the whitening system work on Dentures, or Veneers? The process was designed to enhance the natural whiteness of the enamel. Existing restorations such as tooth-colored fillings, dentures, crowns, bonding, veneers, and bridges do not lighten. This means that any pre-existing dental work may need to be replaced to match the new tooth shade achieved in the natural teeth, should a bleaching process proceed. Clients typically apply the gel product only to their natural teeth, allowing these treated teeth to lighten up to match a cap, crown, or veneer.

Is tooth whitening bad for your teeth? Studies of teeth whitening products using 10% carbamide peroxide showed no effect on the hardness or mineral content of a tooth’s enamel surface. Professional teeth whitening does not cause permanent damage to the enamel on your teeth, and is considered harmless by most dental health professionals.

How many shades whiter can I expect my teeth to get? The amount of whitening varies from client to client and cannot be predicted or guaranteed; but in general use, teeth may lighten anywhere from 6 to 12 shades on the whitening shade guide.  The results depend greatly on how discolored the teeth were originally.  Yellow or brown teeth, surface stains, and uniformly darkened teeth are easiest to whiten.  Additional whitening treatments may be needed in order to achieve the desired shade, especially with heavily stained teeth.

How long do the teeth whitening effects last? Teeth whitening is not permanent. People who expose their teeth to foods and beverages that cause staining may see the whiteness start to fade in as little as one month. Those who avoid foods and beverages that stain may be able to wait one year or longer before another whitening treatment or touch-up is needed.

How long does the treatment take? The process takes only 30-minutes, (2 – 15-minute applications) to achieve a whiter and brighter smile. It is broken down into two 15-minute applications to allow for maximum gel concentration and light exposure, without being under the light for too long of a period to cause gum irritation. Individuals with sensitive teeth may reduce the intensity of the bleaching unit by choosing a lower power setting and those with very heavy stains may need additional treatments.

What happens during teeth whitening? When you visit your dental office for professional tooth whitening, your dentist will have you wear a tray during the treatment that will cover your teeth with a specially formulated whitening gel. Also, your dentist may use a type of light to enhance the whitening effects of the gel.

Does the treatment hurt? Teeth whitening may cause sensitivity during or after treatment and slight discomfort in the gums. Both of these side effects are usually temporary and will disappear a few days after treatment. It is important to tell your dentist if you experience any of these symptoms as the dentist will be able to advise how best to cope in the meantime.

How can I make my results last longer? Luckily, there are a number of steps that you can take to help retain your tooth whitening results. First, avoid eating or drinking any items that can stain your teeth, such as coffee, tea, soda, berries, and anything tomato-based. If you do choose to eat and drink these items, be sure to rinse your mouth or brush your teeth afterward. Finally, keeping up with twice-daily tooth brushing and biannual dental cleanings can help prevent stains from building up on your teeth.

Why is professional whitening better than other options? The greatest benefit that you’ll gain by seeing a dentist for tooth whitening is speed. Unlike over-the-counter kits, professional whitening uses a stronger formula that can provide you with a noticeably whiter smile in a single treatment. At-home kits that you can pick up at the drugstore often take a week or longer to provide noticeable results.

New Westminster Dentist Addresses Tooth Loss

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There are two basic ways to have a tooth removed: You can go to your nearest New Westminster dentist for a careful extraction, or you can take a serious blow to the face. Unfortunately, many people end up going with option number two. They catch a stray elbow during a basketball game, fall face-first on the sidewalk, or — in rare cases — get in a fist fight.

What should I do if I lose a permanent tooth?

A knocked-out (or, in dental speak, “avulsed”) tooth is an emergency. If you don’t get help soon, it will be impossible to salvage the tooth, and the socket can become badly infected. By taking quick action, you can save both the tooth and the socket.

Here’s what you need to do:

  • Find that tooth!
  • Pick it up by the crown, not the fleshy root. If the root looks dirty, give it a quick rinse with a sterile saline solution, milk, or saliva. Don’t scrub it or touch it — you could wind up losing vital tissue.
  • As unappealing as it sounds, try to put the tooth back in its socket. Then hold it in place with gauze or a clean washcloth until you get to a dentist.
  • If the tooth won’t go back in place, put it in a glass of milk or sterile saline solution. Don’t put it in water. (Water doesn’t preserve the tooth as well, which can make it more difficult to reimplant.) You can also carry the tooth tucked between your gum and cheek until you get to the hospital or dentist’s office.
  • Get to a dentist immediately. (And don’t forget to bring the tooth!) If a dentist isn’t available, go to a hospital emergency room.

What if my child knocks out a baby tooth?

Unlike permanent teeth, baby teeth can’t be replaced. If your child knocks out a baby tooth prematurely, don’t waste any time looking for it. Instead, comfort your child and help her rinse her mouth out with cold water. Then call a pediatric dentist right away. The dentist won’t be able to save the tooth, but he can give your child pain relievers to make her feel better, and antibiotics to prevent an infection. Your child may also need a spacer, a device that keeps the other teeth from crowding into the newly formed gap. This gives future permanent teeth room to grow.

If my tooth isn’t knocked out but just loosened, should I still see a dentist?

It’s a good idea. Even if the accident left you with only a loose tooth, a dentist’s attention can help reduce the risk that the tooth will die or fall out later.

How can I keep my teeth where they belong?

Sports injuries are a leading cause of knocked-out teeth. If you or your child play any sport with a risk of falls or blows to the face, helmets, face masks, and mouth guards should be standard equipment. According to the American Academy of Pediatric Dentistry, that list includes football, basketball, baseball, soccer, hockey, skateboarding, gymnastics, and martial arts. If store-bought mouthguards aren’t comfortable, you can get a customized one from your dentist.

The Unseen Effects of Tooth Loss

The most obvious effect of missing teeth is aesthetic. The way you look affects the way you feel, and the psychological and social consequences of tooth loss can also be profound, as we shall see. But it’s not just about unsightly gaps; there’s something less apparent going on in the area of a lost tooth that can affect function, health, facial aesthetics — just about everything.

Believe it or not, in the beginning, and at the end — it’s not so much about teeth as it is about bone, which needs stimulation to maintain its form and density. In the case of alveolar (sac-like) bone which surrounds and supports teeth, the necessary stimulation comes from the teeth themselves. Teeth make hundreds of fleeting contacts with each other throughout the day. These small stresses are transmitted through the periodontal ligament (“peri” – around; “odont” – tooth) that suspends each tooth in its socket, prompting the bone to remodel and rebuild continually.

When a tooth is lost, the lack of stimulation causes loss of alveolar bone — its external width, then height, and ultimately bone volume. There is a 25% decrease in width of bone during the first year after tooth loss and an overall 4 millimeters decrease in height over the next few years.

As bone loses width, it loses height, then width and height again, and gum tissue also gradually decreases. Ability to chew and to speak can be impaired. The more teeth lost, the more function is lost. This leads to some particularly serious aesthetic and functional problems, particularly in completely edentulous (toothless) people.

And it doesn’t stop there. After alveolar bone is lost, the bone beneath it, basal bone — the jawbone proper — also begins to resorb (melt away). The distance from nose to chin decreases and with it, the lower third of the face partially collapses. The chin rotates forward and upward, and the cheeks, having lost tooth support, become hollow. Extreme loss of bone can also make an individual more prone to jaw fractures as its volume depletes more and more.

So-called bite collapse can occur when only some of the back teeth, which support the height (vertical dimension) of the face, are missing. This can cause the front teeth to be squashed or pushed forward. They were not designed to support facial height or to chew food — only to hold and incise or tear it. Toothless people appear unhappy when their mouths are at rest because their lips, too, have sagged; unsupported by teeth and gum tissues they just cave in. Without teeth present, the tongue spreads into the space and the face collapses. The same is true of self-confidence.

The First Teeth To Go

In Canada, 70% of the population is missing at least one tooth, usually a back tooth. The first, or “6-year molars” are the first permanent (adult) teeth to erupt into the mouth and, unfortunately, are often the first teeth to be lost — as a result of decay, failed endodontic (root canal) therapy or fracture. In addition, they often have one or more crowns, which are still susceptible to recurrent decay. Longevity reports for crowns vary widely. The mean life span at failure of a crown has been reported as 10.3 years. Other reports range from a 3% failure rate at 23 years to a 20% failure rate at 30 years. Ultimately heavily restored and root canal treated teeth fail to recurrent decay, infection, structural failure or fracture. These teeth are at risk for extraction as a result of these complications, which are the leading causes of single posterior (back) tooth loss in adults.

Up until now, the most common — but not necessarily the best — option for replacing a single back tooth has been a three-unit fixed partial denture (FPD), also called a fixed bridge. In this case, the two teeth on either side of the gap, known as abutment teeth, are crowned and the two crowns together support a “pontic” — a false tooth in the middle (from the French word for bridge). This type of prosthesis (false replacement) can be fabricated within one to two weeks and provides normal shape, function (eating, talking and smiling), comfort, aesthetics and health. Because of these benefits, FPDs have been the treatment of choice for the last six decades. Every dentist is familiar with how and when to use them; they are widely accepted by the profession, the public, and dental insurance companies.

FPDs are not invariably successful over time. If not well maintained, the pontics can act as reservoirs for bacterial biofilm and the abutment teeth can decay. As a result, the supporting abutment teeth are susceptible to structural failure from decay, failed endodontic therapy and/or fracture, increasing their risk of loss.

The abutment teeth of FPDs may be lost at rates as high as 30% within 14 years. Such unfavorable outcomes of FPD failure include the need to replace them and the loss of an abutment tooth or teeth.